Individual provider Active NPI

Annelise Uenmi Kim, OD

  • Optometrist
  • Savannah, GA
National Provider Identifier
1891682589
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003678 Issued in GA
Practice address
4849 Paulsen St Ste 312
Savannah, GA 31405-4426
Phone
(912) 483-8817
NPI assigned
Jun 23, 2025
Last updated
Nov 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT003678 GA Primary

Addresses

Primary practice location

4849 Paulsen St Ste 312
Savannah, GA 31405-4426

Mailing address

504 Trafford LN Apt 504
Savannah, GA 31410-5106
Phone (912) 704-1239

Other practice location 1

16741 Ga 67
Suite F
Statesboro, GA 30458
Phone (912) 483-8817

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251030001656 GA Practitioner - Optometry 4688163512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Consultants of Savannah LLCGroup PAC ID 2365881117, 4 clinicians

Practice addresses (Care Compare)

4849 Paulsen St
Suite 312
Savannah, GA 31405-4426
Phone (912) 483-8817

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT003678GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Consultants of Savannah LLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

4849 Paulsen St
Ste 312
Savannah, GA 31405
Phone (413) 218-1201

16741 Highway 67
Ste F
Statesboro, GA 30458
Phone (912) 483-8817

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1891682589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 TRAFFORD LN APT 504",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314105106",
            "telephone_number": "912-704-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4849 PAULSEN ST STE 312",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054426",
            "telephone_number": "912-483-8817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16741 GA 67",
            "address_2": "Suite F",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "30458",
            "country_code": "US",
            "telephone_number": "912-483-8817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "ANNELISE",
        "middle_name": "UENMI",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.